Doncaster Local Pharmaceutical Committee Meeting LPC OPEN MEETING

Transcription

1 Secretary: Nick Hunter / Phone: Doncaster Local Pharmaceutical Committee Meeting LPC OPEN MEETING Training Room, Weldricks, Railway Court, Doncaster, DN4 5FB on Wednesday 11 th May 2011 at 1.30pm Present: In the Chair Secretary: Members: Richard Wells Nick Hunter Kieran Doona, Ming Goh, Richard Harris, Becky Holt, Sue O Horan, Dale McVeigh, Darren Powell, David Sharp, Claire Thomas, Gillian Woodhouse. In attendance: Stephen Davies, NHS Doncaster Alison Ellis Minute taker Apologies Diana Taylor, Paula Brocklesby, The Garage Emma Kelly, The Garage Garry Myers, PSNC, Trent Regional Representative Christopher Alcock Chris Bland Richard Wells welcomed the guests to the open meeting. Apologies were received and noted above. Minutes of last meeting (9 th March 2011) The minutes of the last meeting were agreed as being an accurate record of the meeting on 9 th March 2011 DS proposed and SOH seconded. Matters arising not on the agenda 3.1 Substance misuse update Incident reports heard nothing back from EK regarding this at present RW attended a meeting for Accountable Officers Network Group raised number of incidents reported. Pharmacists supplying after clients have not picked up for 3 days. Not illegal but could be a clinical risk asked why happened? If ignoring the SLA constantly then it is a problem but in most cases the pharmacist has to make a decision. Chances are if they have missed 3 days then they will have taken something else. Days and dates - clients have jobs in the week so miss days and then attend again on a weekend. Jo Sanderson is doing some work regarding getting further info e.g. opening times, what happens if do supply gain figures etc. Doncaster LPC minutes Page 1 of 6 FILE COPY

2 Reports go into The Garage every day on missed doses what do they do with this information. May have been in hospital / prison and not sure if been contacted. Other possible explanations for pharmacies to dispense after a three day miss could be - locum s giving out medications or that it is the end of one prescription and new one being raised. The Garage send reports to PCT. DS said that he had sent an incident report to the Garage but when he rang to discuss this they had not even read it. How good is the record keeping Members reported that they had very few retitrated doses when clients have missed 3 days. Easter and Royal Wedding weekend 6 missed Easter and 8 missed on RW weekend not sure whether they have been seen in house. RW will pursue the outcomes at the next network meeting. RH still needs to pass on the details to NH for the possible speaker for the AGM. Action: RH to pass on the contact details to NH for the speaker who spoke at a recent substance misuse event so NH can look at inviting to speak at the AGM or a training event in the future. 3.2 Heather Marsh, NHS Doncaster update Update on the impact of NHS Changes / White Paper on NHS Doncaster Not had conflict of interest document yet forward to next meeting. HM contacted NH after the meeting and said that she had quoted 8% figure in last meeting this is not to be quoted outside the meeting as not been validated. (the figure is of the order of 6-9% but not an exact science allocations are based on the number of pharmacies at April and any opened after this will not have been included and there are no in year uplifts available. Action: HM to send through to the LPC the conflict of interest document once it has been signed off by the PCT. 3.3 Public Health White Paper Response has been sent. Nothing from PSNC. Consultation is on pause period from Helen Gordon regarding this. Not much more support from PSNC their consultation response was only issued a week before deadline. 4 PCT reports 4.1 Substance Misuse update by The Garage No one from the Garage was available to attend the meeting NH to ask for an update. Post meeting note Mutual assistance groups and New clients needing ID. The issues discussed last meeting were discussed at the team meeting and key workers will reiterate the need for clients to take ID to the pharmacy with them. They will also attend with new clients wherever possible, please advise how this is going at the next meeting. The Garage have a service user group running at The Garage every Tuesday 12pm-2pm - they would be accommodating if a pharmacist wanted to come along. The group leaders are called Emma and Will, Tel No to arrange with them direct. Buprenorphine situation DS heard that the factory had closed down and stock from there will not available until late next year. Cannot get 0.4g of Subutex unlicensed so need to have agreement / contract with prescriber. 4.2 Pharmacy Commissioning update (to include, but may vary) SD reported that Julie Bolus is back at the PCT, HM remains as accountable officer for the next month. Members went through the action points from last meeting Page 2 of 6

3 1) Reporting missed pickups substance misuse 3 days missed and this means need to be titrated again and possibly re-prescribed. Pharmacies need to report when clients do not attend and after the 3 rd missed dose. SD asked how big a problem this was?? Met with RDASH to see if there is any info where this has caused problems no evidence. 2) Controlled drugs and community nursing Returned patients CDs by the community nursing teams are not always being properly denatured or the paperwork has not been completed correctly. Community nursing team has moved to RDASH as part of the NHS structural changes. Members raised the question of how can contractors be reassured that amount physically returned is the same as what has been recorded. There has to be level of professional respect. Record sheets will be signed. Recording book stating who, what, when and amount returned. Form for nurses to declare amounts -? pharmacy have a copy. Suggested DOOP container training SD will take this back to PCT. Environmental regs specifically allow nurse / health care workers to take medication back to pharmacy. Classed as patient returns until they reach the pharmacy and processed and then classed as waste. Action: SD to organise via PCT some DOOP container training. Action: SD to raise these points at the Development Group 3) Dave Ellis retiring Dave Ellis will be finishing as Police Chemist Liaison Officer soon. No one assigned to take on this role. After discussion it was decided concerns should be sent to the Chief Constable for SY Police. This is beginning to happen in other forces where they haven t already stopped the liaison officer post. Local commander responsible for assessing what support is needed. Contractors will be given a contact RW worries what affect this will have on pharmacy. RW to write to the constabulary asking for the name of the person taking on the support given to pharmacy. Action: RW to write to Doncaster Constabulary asking for the new contact name regarding support given to pharmacy previously by Police Liaison Officer. 4) Staff changes in the PCT due to White Paper David Oxley retired on 31 st March 2011 SD assumed this role. Julie Bolus is now back SD will be concentrating on Medication Management and supporting contractors. HM will deal with primary care directorate issues. Liz Durrans is taking voluntary redundancy. Amanda Hizzett continues in place of Michael Geraghty Pharmacy Development Group QOF score amendments have been done now. HM reviewed QOF and now this has been changed regarding timings. Michael is back in a restricted role undertaking a review of the minor ailments scheme results will be fed through the Pharmacy Development Group. Amanda Hizzett is dealing with contracts. 5) Conflict of interest policy Wording to contractors re PCT changes SD to forward PCT briefings to NH so all have the same information. 4.3 Modernising Pharmacy Careers Programme Board update from SD and CT CT and SD attended this meeting but it was attended by mainly secondary care including chief officers for hospitals, academics and CPPE etc. Setting up a project board for South Yorkshire to consider modernising careers. There are problems re funding and a distinct agreement that pharmacists and technicians should be involved. All felt it was worthwhile attending this meeting to keep community pharmacy on the map. There are opportunities for graduates to incorporate training especially if the pre reg year to be included in the undergraduate course. Placement will be the beginning of the 4 th Year worry that replace pre-reg exam with the final exam. Action: CT to attend a few more meetings and then reassess whether it is worth the LPC sending a representative. RH asked if there was enough community pharmacy representation - just CT attended. Can use this Page 3 of 6

4 meeting to raise community pharmacy profile to CPPE. 4.4 ETP update smart card distribution (RW) Friday 6 th May 2011 meeting cancelled due to amount of apologies. When talked to PMR supplier community pharmacy can claim 1000 when ETP2 ready but the supplier then charges 1000 to transfer system over to ETP2 so unless others are ready there is no incentive to undertake the work. RW advised to chat to supplier re costs. RW has a meeting with supplier to see how the ETP2 looks. Some GPs are still not bar-coded ETP1 prescriptions yet. St Patrick s Street is very proactive. Was going to look at original pairings / groups and see whether they are still relevant (90% scripts being sent to pharmacy from GP- wouldn t have significant affect on pharmacies in the area. Need GP s interest to get ETP through. 5 Research update Richard Daniszewski (LPF chair) interested in project. Medicine reconciliation - Lambeth driving intending to express an interest in being a pilot area. Lee Wilson from DBH also interested in this. LPF looking for a Research Lead and sent an out to members last week. PCRN established network stakeholders across EMSY. Meeting being set up at Nottingham University. Funding LPC would be involved in this asking for attendance by Doncaster LPC. NH to ask PSNC if RH can attend and speak at the PSNC Regional Meeting on 24 th May 2011 Members agreed that NH should attend on behalf of Doncaster LPC. RH stated that he didn t know of another industry that put so little into research and development. Pharmacy and especially community pharmacy needs solid evidence to prove its worth. NH received an from Gary Warner (IOW) research in community pharmacy passed onto RH. Piloting in Nottinghamshire looking at services commissioned, remuneration, criteria and decommissioned. Why have some services got a lot of services and if decommissioned why? To ensure do not get results from poor research then need to get involved. New Medicines Service where has the research been done for this, no pilot has been undertaken and RH not seen any research project. There are pots of money for research but getting harder access - need to put in bids but most fail. RH envisages academics pairing with pharmacists to gain evidence for the bids. Academic and Practitioner to put together a business case and bring to the LPC. It was suggested that RH attend the PSNC regional meeting on 24 th May 2011 and talk to the LPCs present. NH to arrange for this to be put on the agenda. SD asked RH for a paper résumé of work over the past 2 years. 6 Items for discussion 6.1 MDS service with DBH Andrew Barker This is to be forwarded to the July meeting. 6.2 Doncaster Interim Commissioning Plan 1112 Version 3 0 Attachment 2 Alcohol Service being set up in Leicester (launched ) Come from Public Health Awareness Campaign based on one done in the Wirral / Manchester. Payment to cover increased interaction time and recording data - 10 per transaction and all staff can do this. 2 x training evenings to attend. SD advised to go through Public Health regarding this project. PCT priority but no money to pay for the LES. Agenda item for Tony Baxter, Director of Public Health. Page 4 of 6

5 Action: NH to add to the agenda for discussion with Tony Baxter, Director of Public Health Pharmacy Development Group report Safeguarding Need a further meeting to discuss this in more detail individuals have actions. SD will contact the society regarding the level of safeguarding. Society and GPhC both state that the other should be covering this. GPhC represent all of pharmacy stating that it is not their position to offer advice regarding this. PCT and LPC have a difference of opinion regarding the level of safeguarding needed. Lack of guidance is causing problems. Pharmacy should be compliant. Access to training safeguarding website registration it has been six weeks since NH registered and nothing has been heard back so cannot access training still. Public health Confirmed now that they do not have any money Waste Regulations Issues have been raised nationally. May have to register as effluent producer if not now at some point in the future. 7.2 Development Group meetings Meetings are now bi-monthly - PCT reconsidering membership need to look at which members to send to the meetings. After discussion decided RW continue attending the meetings as they are the primary interface the LPC has with the PCT. There are also places for one of each AIMP / CCA / Independent, but frequently there is one or more LPC member not available do to other commitments, so RW will carry on attending when needed and available. DS / DP and BH attend usually but members deputise if needed. This is a very important and valuable meeting. It is now planned that every 6 months the meeting will be joint with the LMC, LDC and LOC. PCT have lost 150 members of staff out of 410 so teams will be moving round and a consolidation of premises. Drug Tariff Who will be taking on responsibility for distribution? SD to ask and to enquire if possible to get an electronic copy and then send link to contractors. Action: SD to enquire whether it is ok for the LPC to have a copy of the contract sent electronically. Action: Link to be added to the website for accessing the Drug Tariff. 8 Any other public business Consortia SD asked if have good relations with the GP s. Official meeting set up with Eric Met with Chris Stainforth, chief exec for the PCT. Cluster board South Yorkshire Have a finance officer (1 day a week), chairman, chief officer (Andy Buck), Annette Laban Director of Commissioning Support and Development. Will take 2 years to be up and running. Already have officers in place Penny Brocks, Lead Nurse, Steve Hackett Medical Director, Phil Foster (Bassetlaw PCT) All part time. APC Purpose is to define good practice in managing medicines and devices. Has implications regarding MURs do we need to give formal comments as PSNC are drafting a Pharmacy response. APC comments from members to be sent to RH. Need a CCA perspective on this. Page 5 of 6

6 9 10 Future meetings Proposed dates for future meetings these need confirming. 13/07/ Training Room, Weldricks + AGM 14/09/ Training Room, Weldricks 16/11/ Training Room, Weldricks Comfort break before the closed meeting 3.40pm The meeting ended at 3.40pm Amendments to minutes (if any): The next Open Meeting will be held on Wednesday 13 th July 2011 (Training Room, Weldricks) Signed as a true and proper record: Proposed by:...m Goh... Seconded by:...g Woodhouse... Approved by...r Wells... Richard Wells, Chairman. 13 th July 2011 and members present at the LPC meeting Page 6 of 6